HENRY MALLILLIN LEGASPI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063461

License Status

CANCELLED

Business

Title

First Name

HENRY

Middle

MALLILLIN

Last Name

LEGASPI

Business Name

HENRY MALLILLIN LEGASPI DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

05/14/2014